Characteristics of potentially inappropriate prescribing of drugs in elderly polypathological patients
Por:
Rivas-Cobas, PC, Ramirez-Duque, N, Hernandez, MG, Garcia, J, Agusti, A, Vidal, X, Formiga, F, Lopez-Soto, A, Torres, OH, San-Jose, A
Publicada:
1 jul 2017
Resumen:
Objective: To analyse potentially inappropriate prescribing (PIP) in elderly polypathological patients (PP).
Method: Multicentre observational, prospective study of 672 patients aged 75 years and older hospitalised in Internal Medicine between April 2011 and March 2012. The Beers, STOPP-START and ACOVE criteria were used to detect potentially inappropriate prescribing and the results of PP and non-PP patients were compared.
Results: Of the 672 patients included, 419 (62%) were polypathological, of which 89.3% met PIP criteria versus 79.4% of non-polypathological patients (p<0.01). 40.3% of polypathological patients met at least one Beers criteria, 62.8% at least one STOPP criteria, 62.3% at least one START criteria and 65.6% at least one ACOVE criteria. The rate of potentially inappropriate prescribing was higher in polypathological patients regardless of the tool used.
Conclusions: Given the high rate of potentially inappropriate prescribing in polypathological patients, strategies to improve prescribing adequacy must be developed. (C) 2016 SESPAS. Published by Elsevier Espaiia, S.L.U.
Filiaciones:
Rivas-Cobas, PC:
Hosp Univ Virgen del Rocio, Serv Med Interna, Seville, Spain
Ramirez-Duque, N:
Hosp Univ Virgen del Rocio, Serv Med Interna, Seville, Spain
Hernandez, MG:
Hosp San Juan de Dios Aljarafe, Serv Med Interna, Seville, Spain
Garcia, J:
Hosp Gen Juan Ramon Jimenez, Serv Med Interna, Huelva, Spain
Agusti, A:
Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Serv Farmacol Clin, Barcelona, Spain
Vidal, X:
Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Serv Farmacol Clin, Barcelona, Spain
Formiga, F:
Hosp Univ Bellvitge, Serv Med Interna, Barcelona, Spain
Lopez-Soto, A:
Hosp Clin Barcelona, Serv Med Interna, Barcelona, Spain
Torres, OH:
Univ Autonoma Barcelona, Serv Med Interna, Hosp Santa Creu & St Pau, Barcelona, Spain
San-Jose, A:
Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Serv Med Interna, Barcelona, Spain
Green Published, gold
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